Caidi M, Kabiri H, Lazrek I, el Maslout A, Ben Osman A
Service de chirurgie thoracique, hôpital Ibn Sina, CHU Rabat-Salé, Rabat, Maroc.
Ann Chir. 2002 Jun;127(6):456-60. doi: 10.1016/s0003-3944(02)00795-2.
The aim of this study was to evaluate the results of surgical treatment of intra-bronchic foreign bodies after unsuccessful endoscopic extraction.
Fifteen patients underwent surgical treatment of intra-bronchic foreign bodies in our department during a period of 10 years. There was 9 males and 6 females, the mean age was 20.27 years (range between 5 and 39 years), there were 8 right localizations and 7 left. The recurrent pulmonary infections were most frequent complaint of patients.
Twelve pulmonary resections (including one pneumonectomy) were necessary because of the importance of pulmonary parenchyma destruction. There was one post-operative complication (one empyema) and the peri-operative mortality was nul.
Surgical treatment of intra-bronchic foreign bodies must be used only after unsuccessful endoscopic extraction. The preventive measures are the best treatment.